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21155 Rcnstj mdfc lefort iii with i

Surgery Global 90d

Also known as: Le Fort III with maxilla, bipartition with Le Fort I, combined midface advancement

Reconstruction of the midface using Le Fort III osteotomy with concurrent maxillary advancement or Le Fort I, combining multiple facial levels.

In Plain Language

Advancing upper face and jaw together; Complex multi-level facial reconstruction

Clinical Context

Used for severe craniofacial deformities affecting both upper face and maxilla, requiring coordinated advancement.

RVU Breakdown

Work RVU34.34
Total RVU34.34

Est. Medicare Payment

$1,146.96

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 34.34, this code ranks in the 95th percentile among Surgery codes — 4.3x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Maxillofacial SurgeryCraniofacial SurgeryOrthognathic Surgery

Frequently Asked Questions

What is CPT code 21155?

CPT 21155 (Rcnstj mdfc lefort iii with i) is a Surgery code. Reconstruction of the midface using Le Fort III osteotomy with concurrent maxillary advancement or Le Fort I, combining multiple facial levels.

What is the wRVU value for CPT 21155?

The work RVU for CPT 21155 is 34.34. This code is primarily used by Maxillofacial Surgery, Craniofacial Surgery, Orthognathic Surgery. It has a 90-day global period.

When is CPT 21155 used?

Used for severe craniofacial deformities affecting both upper face and maxilla, requiring coordinated advancement.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.